| NPI | 1548423080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: ND 11354) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 11354) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 71911) | |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2024-04-05 |